How Medicaid Fails the Poor

How Medicaid Fails the Poor

Author: Avik Roy

Publisher: Encounter Books

Published: 2013-11-12

Total Pages: 44

ISBN-13: 1594037523

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Medicaid, America’s government-run health insurance program for the poor, should be a lifeline that provides needed health care to Americans with no other options. Surprisingly, however, it doesn’t. The medical literature reveals a $450 billion-a-year scandal: that people on Medicaid have far worse health outcomes than those with private insurance, and no better outcomes than those with no insurance at all. Why is this so? In How Medicaid Fails the Poor, Avik Roy explains how Medicaid’s clumsy design and perverse incentives make it hard for people on Medicaid to get the medical care they need. Medicaid doesn’t reimburse doctors or hospitals for the cost of caring for Medicaid enrollees, forcing many doctors to opt out of the program. The Affordable Care Act, otherwise known as Obamacare, doubles down on this broken system. Roy shows us that there are better ways, using private insurance, to provide needed care to our poorest citizens.


Book Synopsis How Medicaid Fails the Poor by : Avik Roy

Download or read book How Medicaid Fails the Poor written by Avik Roy and published by Encounter Books. This book was released on 2013-11-12 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid, America’s government-run health insurance program for the poor, should be a lifeline that provides needed health care to Americans with no other options. Surprisingly, however, it doesn’t. The medical literature reveals a $450 billion-a-year scandal: that people on Medicaid have far worse health outcomes than those with private insurance, and no better outcomes than those with no insurance at all. Why is this so? In How Medicaid Fails the Poor, Avik Roy explains how Medicaid’s clumsy design and perverse incentives make it hard for people on Medicaid to get the medical care they need. Medicaid doesn’t reimburse doctors or hospitals for the cost of caring for Medicaid enrollees, forcing many doctors to opt out of the program. The Affordable Care Act, otherwise known as Obamacare, doubles down on this broken system. Roy shows us that there are better ways, using private insurance, to provide needed care to our poorest citizens.


Mama Might Be Better Off Dead

Mama Might Be Better Off Dead

Author: Laurie Kaye Abraham

Publisher: University of Chicago Press

Published: 2019-05-10

Total Pages: 308

ISBN-13: 022662384X

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“A provocative examination of our health care delivery for the poor. . . . Such an honest and candid account is essential.” —Alex Kotlowitz, national bestselling author of There Are No Children Here Mama Might Be Better Off Dead immerses readers in the lives of four generations of a poor, African-American family from North Lawndale, Chicago, who are beset with the devastating illnesses that are all too common in America’s inner-cities. Headed by Jackie Banes, who oversees the care of a diabetic grandmother, a husband on kidney dialysis, an ailing father, and three children, the Banes family contends with countless medical crises. From visits to emergency rooms and dialysis units, to trials with home care, to struggles for Medicaid eligibility, Laurie Kaye Abraham chronicles their access—or lack thereof—to medical care. Their story reveals an inadequate health care system that is further undermined by the effects of poverty. Mama Might Be Better Off Dead is an unsettling, profound look at the human face of health care in America. This new edition includes an incisive foreword by David Ansell, a physician who worked at Mt. Sinai Hospital, where much of the Banes family’s narrative unfolds. “Goes to the heart of today’s problem. Powerful . . . deeply searching.” —Washington Post “A powerful indictment of the big business of medicine.” —Los Angeles Times “Abraham . . . illuminates the problems with passion and skill.” —Kirkus Reviews “This personally observed, lucid chronicle and call for reform of our ailing health system covers all levels of responsibility in the medical establishment.” —Publishers Weekly “Clearly identifies in human and policy terms how [healthcare] programs have failed a population desperately in need of help.” —Library Journal


Book Synopsis Mama Might Be Better Off Dead by : Laurie Kaye Abraham

Download or read book Mama Might Be Better Off Dead written by Laurie Kaye Abraham and published by University of Chicago Press. This book was released on 2019-05-10 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: “A provocative examination of our health care delivery for the poor. . . . Such an honest and candid account is essential.” —Alex Kotlowitz, national bestselling author of There Are No Children Here Mama Might Be Better Off Dead immerses readers in the lives of four generations of a poor, African-American family from North Lawndale, Chicago, who are beset with the devastating illnesses that are all too common in America’s inner-cities. Headed by Jackie Banes, who oversees the care of a diabetic grandmother, a husband on kidney dialysis, an ailing father, and three children, the Banes family contends with countless medical crises. From visits to emergency rooms and dialysis units, to trials with home care, to struggles for Medicaid eligibility, Laurie Kaye Abraham chronicles their access—or lack thereof—to medical care. Their story reveals an inadequate health care system that is further undermined by the effects of poverty. Mama Might Be Better Off Dead is an unsettling, profound look at the human face of health care in America. This new edition includes an incisive foreword by David Ansell, a physician who worked at Mt. Sinai Hospital, where much of the Banes family’s narrative unfolds. “Goes to the heart of today’s problem. Powerful . . . deeply searching.” —Washington Post “A powerful indictment of the big business of medicine.” —Los Angeles Times “Abraham . . . illuminates the problems with passion and skill.” —Kirkus Reviews “This personally observed, lucid chronicle and call for reform of our ailing health system covers all levels of responsibility in the medical establishment.” —Publishers Weekly “Clearly identifies in human and policy terms how [healthcare] programs have failed a population desperately in need of help.” —Library Journal


Poor People's Medicine

Poor People's Medicine

Author: Jonathan Engel

Publisher: Duke University Press

Published: 2006-02-22

Total Pages: 350

ISBN-13: 9780822336952

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DIVA national and state-by-state history of public health options for the American poor./div


Book Synopsis Poor People's Medicine by : Jonathan Engel

Download or read book Poor People's Medicine written by Jonathan Engel and published by Duke University Press. This book was released on 2006-02-22 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt: DIVA national and state-by-state history of public health options for the American poor./div


The Economics of Medicaid

The Economics of Medicaid

Author: Jason J. Fichtner

Publisher: Mercatus Center at George Mason University

Published: 2014-03-24

Total Pages: 208

ISBN-13: 0989219364

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Medicaid, originally considered an afterthought to Medicare, is today the largest health insurance provider in the United States. Under the Affordable Care Act, the Congressional Budget Office projects Medicaid enrollment to increase nearly 30 percent by 2024 and federal spending on the program to double over the next decade. For the states, Medicaid is already the largest single budget item, and its rapid growth threatens to further crowd out other spending priorities. In this collection of essays published by the Mercatus Center at George Mason University, nine experts discuss the escalating costs and consequences of a program that provides second-class health care at first-class costs. The authors begin with an explanation of Medicaid’s complex state-federal funding structure. Next, they examine how the system’s conflicting incentives discourage both cost savings and efficient care. The final chapters address the pros and cons of the most mainstream Medicaid reform proposals and offer alternative solutions. This book offers a timely assessment of how Medicaid works, its most problematic components, and how—or if—its current structure can be adequately reformed to provide quality care for those in need at sustainable costs. Contributors include: Joseph Antos, American Enterprise Institute Charles Blahous, Mercatus Center at George Mason University Darcy Nikol Bryan, MD, practicing physician James C. Capretta, Ethics and Public Policy Center Robert F. Graboyes, Mercatus Center at George Mason University June O’Neill, Baruch College, CUNY Nina Owcharenko, Heritage Foundation Thomas Miller, American Enterprise Institute


Book Synopsis The Economics of Medicaid by : Jason J. Fichtner

Download or read book The Economics of Medicaid written by Jason J. Fichtner and published by Mercatus Center at George Mason University. This book was released on 2014-03-24 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid, originally considered an afterthought to Medicare, is today the largest health insurance provider in the United States. Under the Affordable Care Act, the Congressional Budget Office projects Medicaid enrollment to increase nearly 30 percent by 2024 and federal spending on the program to double over the next decade. For the states, Medicaid is already the largest single budget item, and its rapid growth threatens to further crowd out other spending priorities. In this collection of essays published by the Mercatus Center at George Mason University, nine experts discuss the escalating costs and consequences of a program that provides second-class health care at first-class costs. The authors begin with an explanation of Medicaid’s complex state-federal funding structure. Next, they examine how the system’s conflicting incentives discourage both cost savings and efficient care. The final chapters address the pros and cons of the most mainstream Medicaid reform proposals and offer alternative solutions. This book offers a timely assessment of how Medicaid works, its most problematic components, and how—or if—its current structure can be adequately reformed to provide quality care for those in need at sustainable costs. Contributors include: Joseph Antos, American Enterprise Institute Charles Blahous, Mercatus Center at George Mason University Darcy Nikol Bryan, MD, practicing physician James C. Capretta, Ethics and Public Policy Center Robert F. Graboyes, Mercatus Center at George Mason University June O’Neill, Baruch College, CUNY Nina Owcharenko, Heritage Foundation Thomas Miller, American Enterprise Institute


Medicaid

Medicaid

Author: United States. Medicaid Bureau

Publisher:

Published: 1995

Total Pages: 62

ISBN-13:

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Book Synopsis Medicaid by : United States. Medicaid Bureau

Download or read book Medicaid written by United States. Medicaid Bureau and published by . This book was released on 1995 with total page 62 pages. Available in PDF, EPUB and Kindle. Book excerpt:


Medicaid

Medicaid

Author: Karen Davis

Publisher:

Published: 1996

Total Pages: 30

ISBN-13:

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Book Synopsis Medicaid by : Karen Davis

Download or read book Medicaid written by Karen Davis and published by . This book was released on 1996 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt:


Improving Health Care of the Poor

Improving Health Care of the Poor

Author: Miriam Ostow

Publisher: Routledge

Published: 2018-02-13

Total Pages: 155

ISBN-13: 9781138510852

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"I can think of no one more fitting to provide the broad perspective on the City's health system, as well as a specific analysis of the current state of affairs." --James R. Tallone, Jr., President, United Hospital FundFor the three decades since passage of Medicare and Medicaid, health care service to the American people has expanded. Relatively few studies have assessed the extent to which access to health care have actually improved for specific groups, such as the poor and the middle class. This book is an in-depth assessment of the extent to which Medicare and Medicaid have met expectations of citizens. New York City is the focus because of its long-standing commitment to provide essential health care to all citizens irrespective of ability to pay, its hospital system composed of voluntary and public sectors, and its vast governmental and private funding.


Book Synopsis Improving Health Care of the Poor by : Miriam Ostow

Download or read book Improving Health Care of the Poor written by Miriam Ostow and published by Routledge. This book was released on 2018-02-13 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt: "I can think of no one more fitting to provide the broad perspective on the City's health system, as well as a specific analysis of the current state of affairs." --James R. Tallone, Jr., President, United Hospital FundFor the three decades since passage of Medicare and Medicaid, health care service to the American people has expanded. Relatively few studies have assessed the extent to which access to health care have actually improved for specific groups, such as the poor and the middle class. This book is an in-depth assessment of the extent to which Medicare and Medicaid have met expectations of citizens. New York City is the focus because of its long-standing commitment to provide essential health care to all citizens irrespective of ability to pay, its hospital system composed of voluntary and public sectors, and its vast governmental and private funding.


Care Without Coverage

Care Without Coverage

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2002-06-20

Total Pages: 213

ISBN-13: 0309083435

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Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.


Book Synopsis Care Without Coverage by : Institute of Medicine

Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.


The Poverty Industry

The Poverty Industry

Author: Daniel L. Hatcher

Publisher: NYU Press

Published: 2016-06-21

Total Pages: 287

ISBN-13: 1479874728

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"Hatcher [posits that] state governments and their private industry partners are profiting from the social safety net, turning America's most vulnerable populations into sources of revenue"--


Book Synopsis The Poverty Industry by : Daniel L. Hatcher

Download or read book The Poverty Industry written by Daniel L. Hatcher and published by NYU Press. This book was released on 2016-06-21 with total page 287 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Hatcher [posits that] state governments and their private industry partners are profiting from the social safety net, turning America's most vulnerable populations into sources of revenue"--


Automating Inequality

Automating Inequality

Author: Virginia Eubanks

Publisher: St. Martin's Press

Published: 2018-01-23

Total Pages: 288

ISBN-13: 1466885963

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WINNER: The 2018 McGannon Center Book Prize and shortlisted for the Goddard Riverside Stephan Russo Book Prize for Social Justice The New York Times Book Review: "Riveting." Naomi Klein: "This book is downright scary." Ethan Zuckerman, MIT: "Should be required reading." Dorothy Roberts, author of Killing the Black Body: "A must-read." Astra Taylor, author of The People's Platform: "The single most important book about technology you will read this year." Cory Doctorow: "Indispensable." A powerful investigative look at data-based discrimination—and how technology affects civil and human rights and economic equity The State of Indiana denies one million applications for healthcare, foodstamps and cash benefits in three years—because a new computer system interprets any mistake as “failure to cooperate.” In Los Angeles, an algorithm calculates the comparative vulnerability of tens of thousands of homeless people in order to prioritize them for an inadequate pool of housing resources. In Pittsburgh, a child welfare agency uses a statistical model to try to predict which children might be future victims of abuse or neglect. Since the dawn of the digital age, decision-making in finance, employment, politics, health and human services has undergone revolutionary change. Today, automated systems—rather than humans—control which neighborhoods get policed, which families attain needed resources, and who is investigated for fraud. While we all live under this new regime of data, the most invasive and punitive systems are aimed at the poor. In Automating Inequality, Virginia Eubanks systematically investigates the impacts of data mining, policy algorithms, and predictive risk models on poor and working-class people in America. The book is full of heart-wrenching and eye-opening stories, from a woman in Indiana whose benefits are literally cut off as she lays dying to a family in Pennsylvania in daily fear of losing their daughter because they fit a certain statistical profile. The U.S. has always used its most cutting-edge science and technology to contain, investigate, discipline and punish the destitute. Like the county poorhouse and scientific charity before them, digital tracking and automated decision-making hide poverty from the middle-class public and give the nation the ethical distance it needs to make inhumane choices: which families get food and which starve, who has housing and who remains homeless, and which families are broken up by the state. In the process, they weaken democracy and betray our most cherished national values. This deeply researched and passionate book could not be more timely.


Book Synopsis Automating Inequality by : Virginia Eubanks

Download or read book Automating Inequality written by Virginia Eubanks and published by St. Martin's Press. This book was released on 2018-01-23 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: WINNER: The 2018 McGannon Center Book Prize and shortlisted for the Goddard Riverside Stephan Russo Book Prize for Social Justice The New York Times Book Review: "Riveting." Naomi Klein: "This book is downright scary." Ethan Zuckerman, MIT: "Should be required reading." Dorothy Roberts, author of Killing the Black Body: "A must-read." Astra Taylor, author of The People's Platform: "The single most important book about technology you will read this year." Cory Doctorow: "Indispensable." A powerful investigative look at data-based discrimination—and how technology affects civil and human rights and economic equity The State of Indiana denies one million applications for healthcare, foodstamps and cash benefits in three years—because a new computer system interprets any mistake as “failure to cooperate.” In Los Angeles, an algorithm calculates the comparative vulnerability of tens of thousands of homeless people in order to prioritize them for an inadequate pool of housing resources. In Pittsburgh, a child welfare agency uses a statistical model to try to predict which children might be future victims of abuse or neglect. Since the dawn of the digital age, decision-making in finance, employment, politics, health and human services has undergone revolutionary change. Today, automated systems—rather than humans—control which neighborhoods get policed, which families attain needed resources, and who is investigated for fraud. While we all live under this new regime of data, the most invasive and punitive systems are aimed at the poor. In Automating Inequality, Virginia Eubanks systematically investigates the impacts of data mining, policy algorithms, and predictive risk models on poor and working-class people in America. The book is full of heart-wrenching and eye-opening stories, from a woman in Indiana whose benefits are literally cut off as she lays dying to a family in Pennsylvania in daily fear of losing their daughter because they fit a certain statistical profile. The U.S. has always used its most cutting-edge science and technology to contain, investigate, discipline and punish the destitute. Like the county poorhouse and scientific charity before them, digital tracking and automated decision-making hide poverty from the middle-class public and give the nation the ethical distance it needs to make inhumane choices: which families get food and which starve, who has housing and who remains homeless, and which families are broken up by the state. In the process, they weaken democracy and betray our most cherished national values. This deeply researched and passionate book could not be more timely.